Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,995.26 / $1,995.26	Facility		$912.01	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $724.44	Professional		$407.38	$489.78	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,288.25	Professional		$933.25	$933.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $758.58 / $1,778.28	Facility		$407.38	$758.58	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $660.69	Professional		$630.96	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $363.08	Professional		$251.19	$251.19	$363.08